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埃塞俄比亚东部公立医院患者对药房服务的满意度及相关因素评估

Assessment of patient satisfaction with pharmacy service and associated factors in public hospitals, Eastern Ethiopia.

作者信息

Ayele Yohanes, Hawulte Behailu, Feto Tilaye, Basker G Vijai, Bacha Yadeta Dessie

机构信息

Department of Clinical Pharmacy, School of Pharmacy, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

School of Public Health, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

出版信息

SAGE Open Med. 2020 May 13;8:2050312120922659. doi: 10.1177/2050312120922659. eCollection 2020.

Abstract

BACKGROUND

A comprehensive understanding of the extent of patient satisfaction and its determinants are crucial in improving the quality of service. Hence, this research was designed to measure patient satisfaction with pharmacy service.

METHODS

A cross-sectional study was conducted among 422 patients to assess satisfaction with pharmacy service in public hospitals located in Eastern Ethiopia from September to January 2018. Data were collected through an exit interview using structured questionnaires. Then, it was entered into EpiData version 3.1 and exported to STATA version 14.2 for analysis. Associations between dependent and independent variables were assessed by multiple logistic regression using an adjusted odds ratio at a 95% confidence interval and the values of less than 0.05.

RESULTS

A total of 407 samples were included in the final analysis. The mean overall satisfaction of clients measured out of five was 2.29 (standard deviation ± 0.56). The proportion of overall satisfaction was 46.19%. Patients within the age range of 26-35 years and 36-50 years were found to have 50% (adjusted odds ratio = 0.5, 95% confidence interval: 0.3, 0.9) and 60% (adjusted odds ratio = 0.4, 95% confidence interval: 0.2, 0.8) decreased likelihood of satisfaction compared with patients within the range of 18-25 years, respectively. Likewise, patients who attended only secondary education compared to their counterpart (a certificate and above) were less likely to be satisfied (adjusted odds ratio = 0.4, 95% confidence interval: 0.2, 0.8). In contrast, rural dwellers and patients who collected all their medications from the respective hospital were found to be more satisfied compared with their equivalent (adjusted odds ratio = 3, 95% confidence interval: 1.8, 5.2) and (adjusted odds ratio = 2.2, 95% confidence interval: 1.4, 3.5), respectively.

CONCLUSION

Patient satisfaction with pharmacy service was found to be very low considering the current health-care system movement toward delivering quality service. Hence, health-care providers and administrators should give due attention to contributing factors in order to improve the quality of service and ultimately increase patient satisfaction.

摘要

背景

全面了解患者满意度的程度及其决定因素对于提高服务质量至关重要。因此,本研究旨在衡量患者对药房服务的满意度。

方法

2018年9月至1月,对埃塞俄比亚东部公立医院的422名患者进行了一项横断面研究,以评估他们对药房服务的满意度。通过使用结构化问卷进行出院访谈收集数据。然后,将数据录入EpiData 3.1版本,并导出到STATA 14.2版本进行分析。使用调整后的优势比在95%置信区间和小于0.05的P值,通过多元逻辑回归评估因变量和自变量之间的关联。

结果

最终分析纳入了407个样本。客户的平均总体满意度(满分5分)为2.29(标准差±0.56)。总体满意度比例为46.19%。与18至25岁的患者相比,年龄在26至35岁和36至50岁之间的患者满意度降低的可能性分别为50%(调整后的优势比=0.5,95%置信区间:0.3,0.9)和60%(调整后的优势比=0.4,95%置信区间:0.2,0.8)。同样,与接受过证书及以上教育的患者相比,仅接受过中等教育的患者满意度较低(调整后的优势比=0.4,95%置信区间:0.2,0.8)。相比之下,农村居民和从各自医院领取所有药物的患者分别比同类人群更满意(调整后的优势比=3,95%置信区间:1.8,5.2)和(调整后的优势比=2.2,95%置信区间:1.4,3.5)。

结论

考虑到当前医疗保健系统向提供优质服务的方向发展,发现患者对药房服务的满意度非常低。因此,医疗保健提供者和管理人员应适当关注影响因素,以提高服务质量并最终提高患者满意度。

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